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CITY OF OSHKOSH N° 82807
( PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC)PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /' 1 / A Jlc.'.( PLAN NO.
OWNER �j'k aite.o. 4,..t..1."---
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR _44/3-,'( z�-r o�ls
Electric Sent. New El Change ❑ / Temp ('° Type4 / Volt ) Amps 6 0
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH _ Disp — WSoft _ CBasin
- Lay _ Sh _ DW _ DF — San. Sewer
WC _ FDr _ SP _ Ur — Storm Sewer
— Sink _ LTub _ Eject _ SS — Water
Other
FEES: Valuation 74 J
Permit Fee Paid $ / ° • ° v Park Dedication $
ISSUED BY � -/.A- -•-- Date /7/ Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE 0
6 0 /
PERMIT NO. 4 7 4 z-e®7 . APPL. DATE
ELEC. CONTR. ( v'■
OWNER
/7), C
ADDRESS 1(01/ /10=
NATURE OF WORK
ELEC. SERV. NEW - CHANGE
. TYPE G/46► VOLTS 344/ AMPS 6 c
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS FINAL
INSP. ROUGHIN SERVICE
EST. COST 1 PERMIT FEE /° • of DATE PD. // WA y
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